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The job in short
Outpatient medical coding.
Details
- Found
- 15 d ago · posted 2026-10-15
- Location as listed
- Boca Raton, FL, United States
- Role
- Medical Coding / Billing / Records
- Source
- The company’s own careers site
Full description
ESSENTIAL FUNCTIONS:
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Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM, CPT, and HCPCS according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing.
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Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.
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Must be familiar with Ambulatory Payment Categories (APCs, the Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) guidelines, Local and National Coverage Decisions, and other medical necessity/compliance guidelines for billing and coding.
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May verify, edit and/or enter charges based on documentation or payer/billing.
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Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
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Follow coding workflows for service type to include addressing compliance reviews.
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Submit physician queries when clarification of documentation is needed.
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Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive.
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May assist in training and reviewing the work of other coders for accuracy and efficiency.
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Make recommendations to the supervisor, and implement and monitor results as appropriate in support of the overall goals of the department.
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Seek advice and guidance as needed to ensure proper understanding.
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Assist others with responsibilities and adjusts work schedule to meet department needs.
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Use independent discretion/decision-making while effectively working remotely.
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Attend required educational webinars, conference calls, and other coding seminars, and participate in all formal and informal coding discussions.
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Maintain coding education hours and renew annual coding credentials as applicable.
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Complete all assigned compliance courses within the designated period.
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Conform to AHIMA’s Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity by maintaining confidentiality with no infractions.
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Other related job tasks or responsibilities as assigned.
Additional Information:
The position serves internal co-workers and external customers, clients, and contractors.
Access to and/or work with sensitive and/or confidential information.
KNOWLEDGE, SKILLS & ABILITIES:
The requirements below represent the required knowledge, skills, and/or abilities.
Certifications: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT) preferred.
Coder must be able to code all OP chart types: Amb Surgery, Observation, Ancillary, Wound Care and ED.
Client trains on each system and site.
Systems: Meditech
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